State Of Mind Counseling Centers Llc

LBN: State Of Mind Counseling Centers Llc
State Of Mind Counseling Centers Llc is an health care organization with primary practice located at 52188 Van Dyke Ave Ste 319 , Shelby Township MI 48316-3571. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. State Of Mind Counseling Centers Llc can be contacted via phone (248) 690-6851, or through Michael, Carrissa Nicole via phone (248) 521-8237.

Contact Information

Primary practice address
52188 Van Dyke Ave Ste 319 Shelby Township MI 48316-3571
Phone: (248) 690-6851
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Michael, Carrissa Nicole MA, LPC, NCC, LLMFT
Phone: (248) 521-8237

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1003376112
LBN Legal business name State Of Mind Counseling Centers Llc
DBA Doing business as
Authorized official Michael, Carrissa Nicole MA, LPC, NCC, LLMFT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2019
Last updated Jun 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003376112 NPPES
Other 1770927147 NPI

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